EXEMPT AGRICULTURAL BUILDING OR EQUINE FACILITY PLACEMENT PERMIT APPLICATION

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1 Building Services Copy Customer Copy Land Development Copy 1 EXEMPT AGRICULTURAL BUILDING OR EQUINE FACILITY PLACEMENT PERMIT APPLICATION Certain agricultural buildings, structures and equine facilities are exempt from the State of Oregon Structural Specialty Code. A structural building permit is not required for buildings, structures or equine facilities located on a farm if the building, structure or equine facility is to be used exclusively for the operation of the farm. Electrical, plumbing, and mechanical permits are always required. The following definitions apply: FARM: is land used for the primary purpose of obtaining a profit in money by raising, harvesting, and selling of crops; feeding, breeding, management and sale of, or the produce of, livestock, poultry, fur-bearing animals or honeybees; dairying and the sale of dairy products; animal husbandry; the preparation and storage of the produce raised on the farm for human use and animal use and disposal by marketing or otherwise; or any other agricultural or horticultural use. FARM AGRICULTURAL BUILDING: is a structure located on a farm and used in the operation of such farm for all the uses listed above and for the storage, maintenance or repair of farm machinery and equipment. FARM AGRICULTURAL BUILDING DOES NOT INCLUDE: A dwelling; A structure used for personal storage; A structure used for a purpose other than growing plants in which 10 or more persons are present at any one time; A structure regulated by the State Fire Marshal pursuant to ORS 476; A structure used by the public; or A structure subject to sections 4001 to 4127, title 42, United States Code (the National Flood Insurance Act of 1968) as amended, and regulations promulgated thereunder. (ORS ) EQUINE FACILITY: is a building located on a farm and used by the farm owner or the public for stabling or training equines, for riding lessons and training clinics. EQUINE FACILITY DOES NOT INCLUDE: A dwelling; A structure in which more than 10 persons are present at any one time; A structure regulated by the State Fire Marshal pursuant to ORS chapter 476; or A structure subject to sections 4001 to 4127, title 42, United States Code (the National Flood Insurance Act of 1968) as amended, and regulations promulgated thereunder. (ORS )

2 An agricultural building or equine facility is to be built on the property located at: Map and Tax lot: and will be used exclusively for farm use. The proposed structure meets the above definition, and is therefore exempt from the structural building permit process. I understand this exemption does not exclude me from obtaining applicable mechanical, plumbing, and electrical permits. ================================================== STATEMENT OF USE FOR EXEMPT AGRICULTURAL BUILDING OR EQUINE FACILITY PLACEMENT It is important that you provide a detailed description of how this building will be used. This information will be used to ensure compliance with land use laws and to determine whether or not the building qualifies as an exempt structure. It is essential that your description is as complete as possible. For equine facilities, please indicate the total number of persons that will be present in the building at the same time on a consistent basis: I understand this agricultural building can be used only for farm use. I understand that any change of use including, but not limited to the use of the building for a dwelling, personal storage, storage of vehicles other than farm vehicles (i.e. boats, cars, RVs etc.) and home occupations will require a building permit and nullify the agricultural exemption. Initials: If this is an equine facility, I understand the building can be used only for stabling or training equines, riding lessons and training clinics and can have no more than ten persons in the building at the same time on a consistent basis. A person is any individual including, but not limited to the owner, family members, employees, members of the public, etc. I understand if more than ten persons are present in the building at the same time on a consistent basis, the agricultural exemption is void and building permits will be required. Initials: Print Owner Name: Phone: Signature of Owner: Date:

3 - 3 - APPLICANT CHECKLIST PLEASE COMPLETE THIS CHECKLIST BEFORE SUBMITTING The checklist on this page is provided for your use in gathering the information you will need to complete this application and the application process. If you have any questions regarding any of the checklist items, please call and mention that you have a question about the EXEMPT AGRICULTURAL BUILDING OR EQUINE FACILITY PLACEMENT PERMIT APPLICATION. Please submit all of the applicable information required by this checklist: 1. A current approved site plan from the Washington County Health Department, showing the location of the proposed building, septic tank and drain fields (if a septic system is located on the property). If the building is to have a plumbing system, approval for connection to a septic system is required from the Health Department. The Health Department is located at Suite 160 in the Public Services Building [(503) ]. 2. A completed ACCESS PERMIT APPLICATION if one is required. Consult with a Land Development Services Development Review staff member (a planner) at (503) to determine if an access permit is required. 3. A completed GRADING PERMIT APPLICATION if one is required. Consult with the Building Services engineering assistant at (503) if you will perform any grading activities. 4. This application, with the PROPERTY OWNER s signature. 5. A completed BUILDING PERMIT APPLICATION signed by the property owner or licensed contractor. 6. Three copies of a fully dimensioned site plan, drawn to scale on 8.5 x 11 paper. The site plan must show the building s finished floor elevation above sea level and contour lines to show the slope(s) of the parcel. If the building is located in or near a floodplain and/or drainage hazard area, the floodplain and/or drainage hazard boundary and the boundary elevation must also be indicated. If the structure is located in the floodplain, the applicant must also comply with Section 421 of the Washington County Community Development Code. Consult with a Development Services staff member (a planner) at (503) for information on Section Three copies of the exterior elevations, or views of the building, fully dimensioned and drawn to scale on 8.5 x 11 paper. The drawing must indicate the width, length and height of the structure and must show location of all doors, windows or other openings. 8. Three copies of the building s floor plan drawn to scale and fully dimensioned, with each area labeled for its use, drawn on 8.5 x 11 paper.

4 - 4 - LAND DEVELOPMENT DIVISION USE ONLY THIS PAGE CHECKLIST AND APPROVALS FOR EXEMPT AGRICULTURAL BUILDING OR EQUINE FACILITY PLACEMENT PERMIT APPLICATION SITE INFORMATION LAND USE DISTRICT: Building is in a DRAINAGE HAZARD AREA: NA Building is in a FLOODPLAIN: NA BUILDING AND FARM INFORMATION SITE PLAN provided: FINISH FLOOR elevation provided: FLOOR PLAN provided: EXTERIOR ELEVATIONS provided: BUILDING PERMIT APPLICATION provided: OTHER APPROVALS ACCESS PERMIT APPLICATION required and provided: NA GRADING PERMIT APPLICATION required and provided: NA HEALTH DEPARTMENT (septic) approval required and provide: NA SITE VISIT SITE VISIT required: NA Site visit to be performed on: (date) / / Site visit to be performed by: (name) APPROVED FOR PLACEMENT: No OR BUILDING PERMIT REQUIRED: No SIGNATURE REQUIRED FOR APPROVAL: LAND DEVELOPMENT SERVICES representative signature: Title: Phone: Date:

5 0Building Permit Application Washington County Phone: , Fax: , Inspection Request: N., Suite 350, MS 12, Hillsboro, OR Land Use Approval: Project # Permit # TYPE OF WORK New construction Demolition Addition/alteration/replacement Other: CATEGORY OF CONSTRUCTION 1- and 2-family dwelling Commercial/industrial Accessory building Multi-family JOB SITE INFORMATION AND LOCATION Job site address: Suite/bldg./apt. no.: Project name: Cross street/directions to job site: Plan No. Reissue: [ ] No [ ] Subdivision: Lot no.: Tax map/parcel no.: DESCRIPTION OF WORK PROPERTY OWNER TENANT Name: Phone: ( ) APPLICANT CONTACT PERSON Business name: Contact name: Phone: ( ) Fax: ( ) CONTRACTOR Business name: Phone: ( ) Fax: ( ) CCB lic.: ENGINEER ARCHITECT Engineer: Architect: Phone:( ) Phone:( ) Authorized Signature: REQUIRED DATA: 1- AND 2-FAMILY DWELLING Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the work indicated on this application. Valuation Number. of bedrooms: Number of bathrooms: Total number of floors: New dwelling area: Garage/carport area: Covered porch area: Deck area: Other structure area: REQUIRED DATA: COMMERCIAL-USE CHECKLIST Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the work indicated on this application. Valuation Existing building area: New building area: Number of stories: Type of construction: Occupancy groups: Existing: New: NOTICE All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons apply: BUILDING PERMIT FEES* 1BPlease refer to fee schedule Fees due upon application $ Amount received $ Date received: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: Date: T (8/06/COM/WEB)